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Provider 1407829567

NPI: 1407829567Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$11.1M

$11,123,608

Total Claims

216K

Beneficiaries

169K

1.3 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-3%
2019
$1.4M
-21%
2020
$1.1M
+55%
2021
$1.7M
+23%
2022
$2.0M
-4%
2023
$2.0M
-16%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 19% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$2.1M

20K claims · 18.8%

Your Cost: $105.01/claim|Median: $42.48
2.5× median
99284Top 25%

Emergency dept visit, high complexity

$1.3M

8,797 claims · 11.4%

Your Cost: $143.60/claim|Median: $69.51
2.1× median
70450Top 1%

CT head/brain without contrast

$636K

1,523 claims · 5.7%

Your Cost: $417.40/claim|Median: $45.53
9.2× median
74176Top 25%

CT abdomen and pelvis without contrast

$611K

2,636 claims · 5.5%

Your Cost: $231.69/claim|Median: $60.19
3.8× median
71046Top 5%

Chest X-ray, 2 views

$595K

9,026 claims · 5.3%

Your Cost: $65.92/claim|Median: $8.92
7.4× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$509K

9,301 claims · 4.6%

Your Cost: $54.74/claim|Median: $39.70
1.4× median
80053Top 5%

Comprehensive metabolic panel

$490K

12K claims · 4.4%

Your Cost: $40.26/claim|Median: $7.24
5.6× median
71045Top 10%

Chest X-ray, single view

$334K

9,106 claims · 3.0%

Your Cost: $36.72/claim|Median: $4.93
7.4× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$315K

1,389 claims · 2.8%

Your Cost: $226.78/claim|Median: $85.65
2.6× median
36415Top 10%

Collection of venous blood by venipuncture

$291K

37K claims · 2.6%

Your Cost: $7.95/claim|Median: $1.57
5.1× median
93005Top 5%

Electrocardiogram, tracing only, without interpretation

$285K

3,730 claims · 2.6%

Your Cost: $76.49/claim|Median: $7.50
10.2× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$263K

11K claims · 2.4%

Your Cost: $22.97/claim|Median: $4.71
4.9× median
96375Top 5%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$181K

2,335 claims · 1.6%

Your Cost: $77.36/claim|Median: $14.92
5.2× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$173K

3,498 claims · 1.6%

Your Cost: $49.37/claim|Median: $9.56
5.2× median
96360Normal range

IV infusion, hydration, initial, 31 minutes to 1 hour

$170K

1,643 claims · 1.5%

Your Cost: $103.22/claim|Median: $61.57
1.7× median
G2023Normal range

Specimen collection for COVID-19 testing

$158K

8,105 claims · 1.4%

Your Cost: $19.54/claim|Median: $17.15
1.1× median
80306Top 10%

$148K

4,710 claims · 1.3%

Your Cost: $31.51/claim|Median: $10.29
3.1× median
82306Top 1%

Vitamin D, 25 hydroxy

$142K

860 claims · 1.3%

Your Cost: $165.65/claim|Median: $18.18
9.1× median
84443Top 5%

Thyroid stimulating hormone (TSH)

$133K

3,142 claims · 1.2%

Your Cost: $42.45/claim|Median: $9.87
4.3× median
80061Top 5%

Lipid panel

$130K

2,529 claims · 1.2%

Your Cost: $51.32/claim|Median: $8.41
6.1× median
87276Top 5%

$119K

5,423 claims · 1.1%

Your Cost: $21.90/claim|Median: $11.29
1.9× median
87275Top 5%

$115K

5,446 claims · 1.0%

Your Cost: $21.06/claim|Median: $10.59
2.0× median
87086Top 5%

Urine culture, colony count, with identification

$100K

1,827 claims · 0.9%

Your Cost: $54.85/claim|Median: $5.31
10.3× median
87636Top 25%

Respiratory virus detection, 6-11 targets, nucleic acid

$98K

747 claims · 0.9%

Your Cost: $131.58/claim|Median: $97.61
1.3× median
99282Normal range

Emergency dept visit, low complexity

$97K

1,327 claims · 0.9%

Your Cost: $72.79/claim|Median: $37.72
1.9× median
72100Top 5%

$94K

1,084 claims · 0.8%

Your Cost: $87.08/claim|Median: $15.14
5.8× median
84484Top 5%

Troponin, quantitative

$92K

2,607 claims · 0.8%

Your Cost: $35.48/claim|Median: $4.84
7.3× median
73562Top 5%

$90K

826 claims · 0.8%

Your Cost: $109.19/claim|Median: $12.28
8.9× median
96365Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$74K

690 claims · 0.7%

Your Cost: $107.02/claim|Median: $54.77
2.0× median
73630Top 5%

X-ray, foot, complete, minimum 3 views

$72K

902 claims · 0.7%

Your Cost: $80.35/claim|Median: $12.06
6.7× median